About Focused Care at Pasadena
Focused Care At Pasadena, located in Pasadena, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Focused Care at Pasadena
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.87 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the FOCUSED POST ACUTE CARE PARTNERS network. This chain operates 25 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Focused Care at Pasadena provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 44 | Feb 13, 2026 |
| Weighted Average | 175 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 30.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 15.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 8.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 1.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.3% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 94.2% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 7.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.3% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 90.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 9.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 15.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 5 complaints
- 2024: 11 complaints
- 2026: 2 complaints
- Total: 18 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Nov 12, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 12, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Nov 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Nov 12, 2024 | Dispose of garbage and refuse properly. |
| Nov 12, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Aug 29, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 10, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Aug 10, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Aug 10, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Mar 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Dec 06, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Dec 06, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 30, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 30, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 27, 2023 | Hire a qualified full-time social worker in a facility with more than 120 beds. |
| Jun 21, 2026 | Ensure that residents are free from significant medication errors. |
| Jun 21, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
Nearby Hospitals
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HCA HOUSTON HEALTHCARE NORTHWEST
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HCA HOUSTON HEALTHCARE SOUTHEAST
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HCA HOUSTON HEALTHCARE PEARLAND
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ST JOSEPH MEDICAL CENTER
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ST LUKE'S PATIENTS MEDICAL CENTER
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MEMORIAL HERMANN HOSPITAL SYSTEM
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MEMORIAL HERMANN NORTHEAST HOSPITAL
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UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON
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HARRIS HEALTH
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ST LUKE'S HOSPITAL AT THE VINTAGE
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MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
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HCA HOUSTON HEALTHCARE CLEAR LAKE
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Baylor St Lukes Medical Center
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MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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HCA HOUSTON HEALTHCARE MEDICAL CENTER
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WOMANS HOSPITAL OF TEXAS,THE
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HOUSTON METHODIST HOSPITAL
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HOUSTON METHODIST CLEAR LAKE HOSPITAL
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Owner & Operator Information
Business Entity
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Ownership Structure
Management & Direction
- MARY ABERNATHY MANAGING CONTROL - GOVERNING BODY
- CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 OPERATIONAL/MANAGERIAL CONTROL
- SHAWN CONLEY ADP OF THE SNF
- SHAWN CONLEY OPERATIONAL/MANAGERIAL CONTROL
- KIMBERLY COOPER CORPORATE OFFICER
- FOCUSED POST ACUTE CARE PARTNERS LLC OPERATIONAL/MANAGERIAL CONTROL
- FOCUSED POST ACUTE CARE PARTNERS LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- FPACP PASADENA LLC ADP OF THE SNF
- FPACP PASADENA LLC OPERATIONAL/MANAGERIAL CONTROL
- ERIC HUMPHREY MANAGING CONTROL - GOVERNING BODY
- TRUC LE ADP OF THE SNF
- STEPHEN LEGG MANAGING CONTROL - GOVERNING BODY
- MARK MCKENZIE OPERATIONAL/MANAGERIAL CONTROL
- MARK MCKENZIE ADP OF THE SNF
- MARK MCKENZIE MANAGING CONTROL - GOVERNING BODY
- ELIZABETH NEWTON CORPORATE OFFICER
- ELIZABETH NEWTON MANAGING CONTROL - GOVERNING BODY
- BRITNEY SPARROW OPERATIONAL/MANAGERIAL CONTROL
- BRITNEY SPARROW ADP OF THE SNF
- LORETTA STRUBBE OPERATIONAL/MANAGERIAL CONTROL
- LORETTA STRUBBE ADP OF THE SNF
- LINDA TINNERMAN MANAGING CONTROL - GOVERNING BODY
- LESLIE TURNER MANAGING CONTROL - GOVERNING BODY
- JOHN VILLARREAL OPERATIONAL/MANAGERIAL CONTROL
- JOHN VILLARREAL ADP OF THE SNF
- KATRINA WILSON OPERATIONAL/MANAGERIAL CONTROL
- KATRINA WILSON ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Methodist Hospital Snf | N/A | 5 |
| Mrc The Crossings | N/A | 5 |
| Park Manor of Cyfair | N/A | 5 |
| Ignite Medical Resort Webster, LLC | N/A | 5 |
| Bayou Manor | N/A | 5 |
| The Vosswood Nursing Center | N/A | 4 |
| East View Healthcare | N/A | 5 |
| The Hallmark | N/A | 5 |
| Houston Transitional Care | N/A | 5 |
| Baywind Village Skilled Nursing and Rehab | N/A | 5 |
Related Analysis
Best Nursing Homes in Pasadena, TX
Compare Focused Care at Pasadena to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Focused Care at Pasadena directly at 7139419155. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.